Inspection Reports for Regency Pullman

The Office of the State Fire Marshal conducted a fire safety inspection at the Regency Pullman facility on 10/9/2025.

All violations noted during previous related inspections have been corrected.

The inspection was an unannounced on-site complaint investigation conducted due to allegations that staff were not providing food to a hospice resident and staff were not completing employment requirements.

The investigation found no concerns with food and care services for the hospice resident. However, deficiencies were identified related to tuberculosis (TB) testing delays for three staff members and one staff member failing to obtain required home care aide certification after more than 200 days of employment.

The complaint investigation was based on allegations that staff were not providing food to a hospice resident and staff were not completing employment requirements. The investigation included interviews, observations, and record reviews. The identified resident was unavailable, but the resident representative had no concerns. The facility failed to comply with TB testing and home care aide certification requirements.

The inspection was conducted as a complaint investigation based on allegations of marijuana use by staff during work breaks and a staff member lacking a fingerprint background check on file.

The investigation found no concerns from residents or medication technicians regarding staff drug use, but identified a failed facility practice where one staff member did not have a valid fingerprint background check on file, resulting in a citation.

The complaint involved alleged marijuana use by staff during work breaks and a missing fingerprint background check for a staff member. The complaint was substantiated with a citation issued for the background check deficiency.

The Department completed a follow-up inspection of the Assisted Living Facility on 04/16/2024 to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to licensing laws and regulations were corrected.

Two complaint investigations were conducted from 12/01/2023 through 02/01/2024 regarding allegations that staff provided forceful care and that a resident did not get proper care. Both investigations found failed provider practices with citations written. The facility failed to protect residents during abuse investigations, failed to report alleged abuse and neglect timely, failed to verify staff work references prior to hiring, failed to ensure staff completed required training and certifications, and failed to protect residents from physical restraint and neglect.

The inspection was conducted as a complaint investigation regarding allegations that staff forcefully assisted a resident into a chair and concerns about staff giving residents medications without trying other interventions to manage behavior problems such as anxiety, as well as unresolved grievances related to medication use.

The investigation found that staff cared for residents in a calm, unhurried manner and used non-pharmacological interventions, but the residents' Negotiated Service Plans (NSPs) were not updated to include interventions for responding to residents' problem behaviors. This failure placed residents at risk of harm. Resident representatives had no concerns about staff care or grievance resolution. Failed provider practices were identified and citations written related to the lack of updated NSPs.

The complaint investigation was substantiated with findings that NSPs were not updated to include behavioral interventions. Resident representatives had no concerns about staff care or grievance resolution. The allegation that staff forcefully assisted a resident into a chair was investigated but details from the alleged victim were unavailable due to cognitive impairment.

The investigation was conducted due to a complaint alleging that a nurse instructed staff to give medications to a resident who was inebriated.

The investigation found no failed facility practices related to medication administration when the resident was inebriated, but identified a deficiency related to two Medication Aides administering medications without proper nurse delegation training or required nursing assistant or Home Care Aide licenses.

Complaint alleged nurse instructed staff to give medications to a resident that was inebriated. Investigation found no failed facility practices related to this allegation but identified training and credential deficiencies for medication aides.

The Department completed a follow-up inspection on 11/03/2023 to verify correction of previously cited deficiencies and found no deficiencies. Additionally, a full inspection and complaint investigation were conducted on 09/06/2023 due to a complaint and noncompliance with licensing requirements.

The follow-up inspection found no deficiencies and confirmed compliance with Assisted Living Facility licensing requirements. The earlier full inspection and complaint investigation found multiple deficiencies related to staff respirator fit testing, background checks, tuberculosis screening, resident assessments, and signing of negotiated service agreements.

The complaint investigation was completed on 09/06/2023 and found that the facility did not meet licensing requirements. The complaint number referenced is 95796.

The Department completed a follow-up inspection of the Assisted Living Facility on 11/03/2023 to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to respirator fit testing, background checks, tuberculosis screening, resident assessments, and signed service agreements were corrected.

The inspection included a complaint investigation related to complaint number 95796.

The Office of the State Fire Marshal conducted an inspection at the Regency Pullman facility to assess compliance with fire safety codes and regulations.

The inspection found that all violations noted during previous related inspections have been corrected. However, the facility has outstanding issues including failure to provide documentation for annual fire door testing and fire sprinkler system tests such as the Annual Forward Flow Test and 5 Year Backflow Valve Internal Pipe exam. Additionally, a second floor resident laundry room fire door failed to latch properly.